It’s been a couple of weeks since I posted an update on how my latest schema to control my weight by adjusting the strength of my dialysis fluids so here goes an update:

I have 21 recent days of data to share. During this period, my weight has varied from a low of 143.2 to a high of 147.0. When it reaches 145.0 I use a 2.5% 2-liter bag on my early evening static fill. When it equals or exceeds 146.0 I use a 2.5% 6-liter bag along with a 1.5% 6-liter bag on the Cycler. So far, I have used the 2.5% 2-liter treatment five times, and the 2.5% 6-liter bag four times out of 21. Keep in mind that my assigned dry weight is 145.0 so I’m keeping a tight variance on my weight around this value by adjusting the dialysis fluid strength on the fly.

One of the last tasks I do after coming off of dialysis every morning is to weigh myself. Based on this weight, I determine what mixture of bags of fluid I need to keep my weight where I want it, at or below 145.0. Sometimes I can adjust it a pound or two with just the 2.5% 2-liter bags for my static fill; sometimes I have to use the 6-liter 2.5% bags if my weight jumps too much. But it is working for me.

Keep in mind that the rubric I am using does not take into consideration any weight fluctuation from diet or any effect of exercise. But intrinsically, these are factored into my weight. Again, my weight has responded well to this schema.